HB 1004 Indiana House · 2023 Regular Session

Health care matters.

Summary
Establishes the health care cost oversight task force and sets forth duties of the task force. Provides a credit against state tax liability to certain physicians who have an ownership interest in a physician practice and meet other eligibility criteria. Allows a credit against the state tax liability of an employer with fewer than 50 employees if the employer has adopted a health reimbursement arrangement in lieu of a traditional employer provided health insurance plan and if the employer's contribution toward the health reimbursement arrangement meets a certain standard. Requires the office of the secretary of family and social services to research and compile data concerning Medicaid reimbursement rates for Indiana and all other states and the national reimbursement rate average. Requires the submission of a report to the health care cost oversight task force and the general assembly. Establishes the payer affordability penalty fund. Specifies additional information that a hospital must report to the Indiana department of health in the hospital's annual report and establishes a fine for a hospital that fails to timely file the report. Provides that a bill for health care services provided by certain qualified providers in an office setting must be submitted on an individual provider form. Prohibits an insurer, health maintenance organization, employer, or other person responsible for the payment of the cost of health care services from accepting a bill that is submitted on an institutional provider form. Repeals language requiring a hospital to hold a public forum. Requires the department of insurance to contract with a third party to calculate an Indiana nonprofit hospital system's prices from certain health plans for specified calendar years. Before November 1, 2024, and before November 1 each subsequent year, requires the department's third party contractor to compare certain Indiana nonprofit hospital system facility pricing information with 285% of Medicare. Requires the calculations to be submitted as a report for review. Provides that a health care provider that enters into: (1) a value-based health care reimbursement agreement; and (2) an electronic medical records access agreement; with a health plan may qualify to participate in the health plan's program to reduce or eliminate prior authorization requirements. Requires a health plan that establishes a program to reduce or eliminate prior authorization requirements to provide certain information to health care providers concerning the program. Requires a third party administrator, insurer, or health maintenance organization that has contracted with a person to administer a self-funded insurance plan or a fully insured group plan to provide claims data to the person not later than 15 days from a request for the data. Specifies certain claims data to be provided and establishes a fine for a failure to timely provide the claims data. Requires the all payer claims data base advisory board to discuss specified issues concerning reimbursement rates. Allows for the provisional credentialing of physicians who establish or join an independent primary care practice.
Bill status signed all 5 stages cleared
Introduction
Jan 2023
Committee Review
Apr 2023
House Passage
May 2023
Senate Passage
Apr 2023
Signed into Law
May 2023
Introduced Jan 12, 2023 Signed May 4, 2023
Floor votes · Senate Apr 18, 2023

How they voted

471
Passed
Total votes 48
Apr 18, 2023
D Democratic10
10 Yea
100% Yea
R Republican38
37 Yea 1 Nay
97% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
43
Key actions
13
Committee
7
Amendments
3
May 4, 2023
Signed into law
Signed by the Governor
executive
May 1, 2023
Lower · Passed
Signed by the Speaker
lower
Apr 28, 2023
Upper · Passed
Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 532: yeas 45, nays 5
upper
Apr 28, 2023
Upper · Passed
Signed by the President Pro Tempore
upper
Apr 28, 2023
Upper · Passed
Signed by the President of the Senate
upper
Apr 27, 2023
Lower · Passed
Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 559: yeas 90, nays 7
lower
Apr 19, 2023
Introduced
House dissented from Senate amendments
lower
Apr 18, 2023
Upper · Passed
Third reading: passed; Roll Call 431: yeas 49, nays 1
upper
Apr 17, 2023
Upper · Passed
Amendment #4 (Garten) prevailed; voice vote
upper
Apr 13, 2023
Upper · Passed
Committee report: amend do pass, adopted
upper
Apr 6, 2023
Upper · Passed
Committee report: amend do pass adopted; reassigned to Committee on Appropriations
upper
Feb 27, 2023
Lower · Passed
Third reading: passed; Roll Call 237: yeas 85, nays 11
lower
Feb 23, 2023
Amended
Amendment #1 (DeLaney) failed; Roll Call 207: yeas 27, nays 65
lower
Feb 21, 2023
Lower · Passed
Committee report: do pass, adopted
lower
Feb 20, 2023
Committee
Referred to the Committee on Ways and Means pursuant to House Rule 127
lower
Feb 20, 2023
Lower · Passed
Committee report: amend do pass, adopted
lower
4 primary · 5 co-sponsors

Sponsors